| Doctor Name: | DR. JOHN DAVID KENNEY |
| NPI Number: | 1114043288 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD DDS |
| License Number: | MD0022210 |
| Business Practice Address: | 7345 Linderson Way Sw Tumwater, WA - 985016504 |
| Business Phone Number: | 3607258713 |
| Business Fax Number: | 3605869060 |
| Mailing Address: | Po Box 41123, Ms 41123 OLYMPIA |
| State: | WA |
| Postal Code: | 985041123 |
| Phone Number: | 3607258713 |
| Fax Number: | 3605869060 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 01/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD0022210 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |